Provider Demographics
NPI:1376214767
Name:FUEL PHYSICAL THERAPY & CHIROPRACTIC PLLC
Entity Type:Organization
Organization Name:FUEL PHYSICAL THERAPY & CHIROPRACTIC PLLC
Other - Org Name:FUEL PHYSICAL THERAPY & CHIROPRACTIC PLLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:
Authorized Official - Last Name:DUGGAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:646-478-8700
Mailing Address - Street 1:20409 10TH AVE
Mailing Address - Street 2:
Mailing Address - City:ROCKAWAY POINT
Mailing Address - State:NY
Mailing Address - Zip Code:11697-1817
Mailing Address - Country:US
Mailing Address - Phone:646-478-8700
Mailing Address - Fax:
Practice Address - Street 1:7 W 36TH ST STE 401
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10018-7911
Practice Address - Country:US
Practice Address - Phone:646-478-8700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-24
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty